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Independent Predictors for Recurrence of Chronic Subdural Hematoma

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Author(s)
Yoon-Gyo JungNa-Young JungEl Kim
Keimyung Author(s)
Kim, El
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of Korean Neurosurgical Society
Issued Date
2015
Volume
57
Issue
4
Keyword
Chronic subdural hematomaHemiparesisMidline displacementRecurrence
Abstract
Objective : Chronic subdural hematoma (CSDH) is one of the most frequent problems encountered in neurosurgery. Although burr-hole trephination is widely performed to treat CSDH, the incidence rate of recurrent CSDH is still 2–37%. The goal of this study is to determine the risk factors that affect recurrent CSDH.
Methods : A total of 182 patients were included in this study who underwent burr-hole trephination. The clinical factors and radiographic features between the recurrence and the no recurrence groups were analyzed to find the parameters related to the postoperative recurrence of CSDH.
Results : For the recurrence of CSDH that occurred in 25 patients (13.7%), among various risk factors, pre and postoperative midline displacements, which are more than 10 mm (p=0.000), and preoperative hemiparesis (p=0.026) had contributed to recurrent CSDH with statistical significance by univariate analysis. Unilateral CSDH were more frequently related to recurrent CSDH (16.3%), although it was not a statistical significant result (p=0.052). Furthermore, preoperative midline displacement only had statistical meaning for the recurrence of CSDH by multivariate analysis.
Conclusion : This study indicates that the midline displacement on the preoperative computed tomography scan is the only independent predictor for the recurrence of CSDH.
Keimyung Author(s)(Kor)
김엘
Publisher
School of Medicine
Citation
Yoon-Gyo Jung et al. (2015). Independent Predictors for Recurrence of Chronic Subdural Hematoma. Journal of Korean Neurosurgical Society, 57(4), 266–270. doi: 10.3340/jkns.2015.57.4.266
Type
Article
ISSN
2005-3711
DOI
10.3340/jkns.2015.57.4.266
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34141
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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